Declaration of Political Status

I the living woman, Jane Marie Dooly (nee Doe), affirm and declare that I have returned to my lawful birthright political status as a Minnesotan, and I claim my exemptions as stated in Federal Code 8 USC 1101 (a) 21.

This I declare and affirm under penalty of perjury under the public law of 
The United States of America.

_________________________________________
by: Jane Marie Dooley (nee Doe) ©
All Rights Reserved
Without Prejudice

Washington State Assembly Recording Secretary Witness 
Washington 
King County

I,_______________________________ a Your State Assembly Recording Secretary, hereby affirm that the Declarant has been positively identified and I have witnessed their autograph of the Declaration of Political Status on June 10, 2021:    	 	 

Washington Assembly Recording Secretary___________________________________________
										Seal
Rev06202021

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